Application

Does the company have existing loans?

Yes No

If yes, with whom?

Please add information about your businesses directors in the space below. Ensure your response is in the following format [Name - contact number - email address - personal tax number - background of director - Marital Status (Single/Married) - if married (COP/ANC). Please fill in information for all your directors however, if your business has less than 5 directors you do not need to use all the boxes below

Number of Directors

1st Director

Marital Status (Single/Married)

If Married (COP/ANC)

2nd Director

2. Marital Status (Single/Married)

2. If Married (COP/ANC)

3rd Director

3. Marital Status (Single/Married)

3. If Married (COP/ANC)

4th Director

4. Marital Status (Single/Married)

4. If Married (COP/ANC)

5th Director

5. Marital Status (Single/Married)

5. If Married (COP/ANC)

Does the business operate in a rural community?

Yes No

Do you have commercial insurance in place?

Yes No

Do you have employee insurance in place?

Yes No

Do you have key man buy sell insurance in place?

Yes No

Are the directors covered for death disability?

Yes No

Does the compnay offer its employees medical aid cover?

Yes No

ACOF Prioritises women owned and run SME:

Does the company have:

In order for ACOF to process your loan application, it will be required that the credit scores/reports and other personal information of your directors and guarantors or other security providers be obtained from any credit bureau, including TransUnion. Further, as a result of the loan agreement to be concluded, ACOF will be required to communicate to any credit bureau details of – 1. your loan application and drawing of the loan; 2. the terms of the loan; and 3. any failure on the borrower’s part to comply with its obligations. Before we may proceed with the application kindly confirm that you consent that ACOF may obtain and process from any credit bureau, the personal information, credit records or credit scores of your directors, guarantors or other security providers as well as to provide any of the information mentioned above to such credit bureaus.

Yes

By completing this form, you consent to receiving communications from Altvest Capital regarding our product offerings, Newsletter and SME funding. These communications are not constituted as, and therefore should not be regarded as financial advice.

Yes

Application

Working capital funding